UPSTATE PEDIATRIC DENTISTRY, PA
NPI 1275780454
Dentist - Pediatric Dentistry in Greenville, SC

Active since August 19, 2008
105-A HALTON ROAD, GREENVILLE, SC 29607(864) 676-9873(864) 676-9870 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Upstate Pediatric Dentistry, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPSTATE PEDIATRIC DENTISTRY, PA (NPI 1275780454) is a healthcare organization registered as a pediatric dentistry in Greenville, South Carolina and active in the NPI registry since August 2008. The organization lists Brian Timothy Jones, Dentist, as its authorized official.

NPPES Registry Identity

NPI1275780454
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameUPSTATE PEDIATRIC DENTISTRY, PA
Location Address105-A HALTON ROADGreenville, SC 29607-3507
Mailing Address105-a Halton RoadGreenville, SC 29607-3507 · (864) 676-9873 · Fax (864) 676-9870
Fax(864) 676-9870
Organization SubpartNo
Authorized OfficialBrian Timothy JonesDentist · (864) 676-9873
Enumeration DateAugust 19, 2008
NPI 1275780454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

105-A HALTON ROAD, Greenville, SC 29607

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upstate Pediatric Dentistry, PA's NPI number?

The NPI number for Upstate Pediatric Dentistry, PA is 1275780454. It was assigned to this organization in the NPPES registry on August 19, 2008.

Where is Upstate Pediatric Dentistry, PA located?

Upstate Pediatric Dentistry, PA is located at 105-A Halton Road, Greenville, SC 29607. The listed phone number is (864) 676-9873.

What is Upstate Pediatric Dentistry, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Upstate Pediatric Dentistry, PA was last updated on August 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.